PSYCH - EXAM 1: NCLEX
QUESTIONS WITH COMPLETE
SOLUTIONS
A patient is taking haloperidol (Haldol) for the
management of schizophrenia. When evaluating
the efficacy of this treatment, the nurse knows this
medication is least likely to address which
manifestation of the illness?
A. Avolition
B. Delusions
C. Hallucinations
D. Disorganized speech - correct answer - A.
Avolition
Avolition, or lack of motivation, is a negative
symptom of schizophrenia. First generation
antipsychotics such as Haldol are considered less
effective in managing the negative symptoms of
the disorder. Efficacy for treating positive
symptoms including delusions, hallucinations, and
,disorganized speech is comparable for first and
second-generation antipsychotics.
A patient with a diagnosis of schizophrenia is in the
rehabilitation phase of the illness. Which
assessments would constitute the focus of nursing
care? Select all that apply.
A. Ensuring the absence of positive, negative, and
cognitive symptoms of the illness
B. Determining whether the patient has resumed
functioning
consistent with premorbid status
C. Ascertaining whether family and community
supports are available and appropriate to patient
needs
D. Evaluating the patient for extrapyramidal
symptoms and other side effects of medication
E. Appraising the patient's readiness to replace
medications with non-pharmacologic treatment
interventions - correct answer - C, D
,C. Ascertaining whether family and community
supports are available and appropriate to patient
needs
D. Evaluating the patient for extrapyramidal
symptoms and other side effects of medication
Because EPS and other side effects of medications
can occur at any point in treatment and may be a
factor in treatment adherence, the nurse would
continue to assess for these in the rehabilitation
phase of the illness. It is also essential to
determine the stability of family and community
supports. Patients with schizophrenia who are in
recovery are likely to continue to experience some
degree of negative and cognitive symptoms of the
illness. It also is unrealistic to expect that the
patient with schizophrenia resume a level of
functioning that is consistent with premorbid
functioning. Recovery is a lifelong process and
pharmacological management of the illness is an
essential component of ongoing treatment.
The community health nurse is working on an
initiative to reduce the incidence of violence in an
inner city, impoverished neighborhood. Which
, evaluation finding best indicates that a risk factor
for community violence has been addressed?
A. More affluent citizens begin to populate the
area.
B. Funding is obtained for neighborhood
beautification.
C. Disenfranchised youth are bused to better
school systems.
D. Members take advantage of opportunities for
cohesion and engagement. - correct answer - D.
Members take advantage of opportunities for
cohesion and engagement.
Although there is some controversy regarding the
etiology of community violence, several factors are
thought to impact the risk for community violence.
These include cohesion, collective action, poverty,
and inequality. By utilizing opportunities for
cohesion and engagement, community members
can take constructive action to ameliorate a
number of factors contributing to community
violence. More affluent citizens moving into the
area may actually exacerbate inequality.
QUESTIONS WITH COMPLETE
SOLUTIONS
A patient is taking haloperidol (Haldol) for the
management of schizophrenia. When evaluating
the efficacy of this treatment, the nurse knows this
medication is least likely to address which
manifestation of the illness?
A. Avolition
B. Delusions
C. Hallucinations
D. Disorganized speech - correct answer - A.
Avolition
Avolition, or lack of motivation, is a negative
symptom of schizophrenia. First generation
antipsychotics such as Haldol are considered less
effective in managing the negative symptoms of
the disorder. Efficacy for treating positive
symptoms including delusions, hallucinations, and
,disorganized speech is comparable for first and
second-generation antipsychotics.
A patient with a diagnosis of schizophrenia is in the
rehabilitation phase of the illness. Which
assessments would constitute the focus of nursing
care? Select all that apply.
A. Ensuring the absence of positive, negative, and
cognitive symptoms of the illness
B. Determining whether the patient has resumed
functioning
consistent with premorbid status
C. Ascertaining whether family and community
supports are available and appropriate to patient
needs
D. Evaluating the patient for extrapyramidal
symptoms and other side effects of medication
E. Appraising the patient's readiness to replace
medications with non-pharmacologic treatment
interventions - correct answer - C, D
,C. Ascertaining whether family and community
supports are available and appropriate to patient
needs
D. Evaluating the patient for extrapyramidal
symptoms and other side effects of medication
Because EPS and other side effects of medications
can occur at any point in treatment and may be a
factor in treatment adherence, the nurse would
continue to assess for these in the rehabilitation
phase of the illness. It is also essential to
determine the stability of family and community
supports. Patients with schizophrenia who are in
recovery are likely to continue to experience some
degree of negative and cognitive symptoms of the
illness. It also is unrealistic to expect that the
patient with schizophrenia resume a level of
functioning that is consistent with premorbid
functioning. Recovery is a lifelong process and
pharmacological management of the illness is an
essential component of ongoing treatment.
The community health nurse is working on an
initiative to reduce the incidence of violence in an
inner city, impoverished neighborhood. Which
, evaluation finding best indicates that a risk factor
for community violence has been addressed?
A. More affluent citizens begin to populate the
area.
B. Funding is obtained for neighborhood
beautification.
C. Disenfranchised youth are bused to better
school systems.
D. Members take advantage of opportunities for
cohesion and engagement. - correct answer - D.
Members take advantage of opportunities for
cohesion and engagement.
Although there is some controversy regarding the
etiology of community violence, several factors are
thought to impact the risk for community violence.
These include cohesion, collective action, poverty,
and inequality. By utilizing opportunities for
cohesion and engagement, community members
can take constructive action to ameliorate a
number of factors contributing to community
violence. More affluent citizens moving into the
area may actually exacerbate inequality.
